Student Internship Application

Please fill out the information below. Each tab is mandatory


Student Information

First Name: Last Name:
Student ID Number:
(If unknown, see your school counselor)
Date of Birth:
Email Address: Phone Number:
Address: Address2:
City: State:
Zip Code:




High School:

Grade Level:

If so, what company?

Will you have a cumulative 3.0 GPA by January 2018?

Please enter your GPA in the ONE appropriate box below.

Most Current Cumulative End-of-Year GPA: (4 Point Scale)


Most Current Cumulative End-of-Year GPA: (5 Point Scale)

I am currently in the National Academy Foundation ?


Please check your top 5 career choices (min of 1, max of 5 choices):

If you selected "Others", please describe in this box:

My preferences

Please check the box that most describes yourself:
Talk more than listen Listen more than talk
Think out loud Think quietly inside their heads
Prefer a public role Prefer to work "behind-the-scenes"
Are outgoing & enthusiastic Are self-contained and reserved
Focus on details & specifics Focus on the big picture & possibilities
Notice details & remember facts Notice anything new or different
Trust actual experience Trust their gut instincts
Like to use established skills Prefer to learn new skills
Like step-by-step instructions Like to figure things out for themselves
Are motivated by achievement Are motivated by appreciation
Like to work indoors Like to work outdoors


Where do you see yourself in 2025? Please note any education, relevant skills and experience that you feel would attain for your future in 2025 (minimum of 75 words).

Why should a company select you to be a 2018 Mayor’s Intern Fellow (Minimum 75 words).

Professional/Personal References:

Please list down at least one personal or professional references that can vouch for you in the event that the companies elect to contact them.
Reference Name Job Title Company Phone Number Email Address

Work Experience

Please list down all of your work experience, including paid/unpaid internships.
Company Name Job Title Start Date End Date Duties and Responsibilities

Community or Volunteer Experience

Please list down your most recent volunteer experiences, including church and community activities.
Name of Organization Total Volunteer Hours Duties and Responsibilities

Extracurricular Activities:

Please list down all of the extracurricular activities you have participated in that showed your teamwork and leadership skills.
Organization Position(s) Held Start Date End Date Description

Computer Proficiency:

Please check your level of proficiency in each of the following activities.
Activity Skill Level

Work-Related Questions

I would prefer the following type of job: (choices: Full time (40 hours per week). Part time (20-35 hours per week), flexible

Method of transportation to go to work once hired:

Will proper "business attire" be a problem for you?

Are you available to work Monday to Friday (with no days off) beginning June 11, 2018 and ending August 3, 2018, excluding any holidays?

By submitting this application, I understand the following: (Each must be initialed to proceed with submission)

All of the information I submitted is true and accurate to the best of my knowledge: Student Initials:

To remain eligible, I will be 16 years of age by June 11, 2018 Student Initials:

To remain eligible, I will provide a copy of a state issued ID or drivers license or US passport by April 1st, 2018. Student Initials:

To remain eligible, I will provide a copy of my social security card or work permit by April 1st, 2018. Student Initials:

To remain eligible, I must attend an all day Saturday training session on one of the following dates: December 17, January 13, January 27 or February 10th? Student Initials:

If I am selected as an intern fellow,I MUST attend three full day (8:45am - 4:00pm) leadership training sessions on June 6th, June 7th & June 8th. Student Initials:

If I am selected as an intern Fellow, I must attend a community service project in June of July 2018. Student Initials:

If I am selected as an intern fellow, I must attend the MIFP luncheon on July 27, 2018. Student Initials:

If I am selected as an intern fellow, I must work every work day from June 11th to August 3rd, with the exception of an extreme emergency. Student Initials:

Violation of any of these may result in termination from my internship and the elimination of any further opportunities with the Mayors Intern Fellows Program. Student Initials:

Before you submit your application, please join our Remind communication tool so that we can communicate key program information to you:
Option 1: Text
Please text phone number: 81010. In the message field type @424c9ah
Option 2: E-mail
Send a blank e-mail to:
Thank You!